Provider Demographics
NPI:1578630208
Name:BRIER, KATY R (LIC AC)
Entity Type:Individual
Prefix:
First Name:KATY
Middle Name:R
Last Name:BRIER
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 KINGSLEY RD
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2211
Mailing Address - Country:US
Mailing Address - Phone:781-925-1941
Mailing Address - Fax:
Practice Address - Street 1:121 NANTASKET AVE
Practice Address - Street 2:SUITE 107-108R
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-3106
Practice Address - Country:US
Practice Address - Phone:781-925-1941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220207171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist